| Bowerman, Llc | |
|
500 N Walker Ave Oklahoma City OK 73102-1619 | |
| (405) 290-7542 | |
| (405) 290-7576 |
| Full Name | Bowerman, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 500 N Walker Ave, Oklahoma City, Oklahoma |
| Authorized Official Name and Position | Paul Bowerman (OWNER) |
| Authorized Official Contact | 5802907542 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bowerman, Llc Po Box 95435 Oklahoma City OK 73143-5435 Ph: (405) 290-7542 | Bowerman, Llc 500 N Walker Ave Oklahoma City OK 73102-1619 Ph: (405) 290-7542 |
| NPI Number | 1013242965 |
|---|---|
| Provider Enumeration Date | 10/10/2009 |
| Last Update Date | 10/10/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013242965 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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